Surendra M Patel


Address: 2525 Amboy Rd, Staten Island, NY 10306-2219
Phone: 7183513132

Surendra M Patel (NPI# 1740238682, PAC ID# 4587845979) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1740238682
PAC ID by PECOS 4587845979
Professional Enrollment ID I20110217000605
Full Name Surendra M Patel
Address 2525 Amboy Rd
Staten Island
NY 10306-2219
Phone Number 7183513132
Gender M
Graduation Year 1971
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330160 STATEN ISLAND UNIVERSITY HOSPITAL

Other Locations

Address Phone Organization
2525 Amboy Rd, Staten Island, NY 10306-2219 7183513132

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 2525 AMBOY RD
City STATEN ISLAND
State NY
Zip 10306-2219

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Joy Masefield Physical Therapy Masefield and Cavallaro Physical Therapy PC 69 Guyon Ave, Staten Island, NY 10306-2018
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Competitor

Search similar physicians

City STATEN ISLAND
Zip Code 10306
Specialty INTERNAL MEDICINE
City + Specialty STATEN ISLAND + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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